Emergency medical transportation costs are a significant portion transportation expenses. Frequently, due to the very nature of emergencies, charges can be delayed, confused, inappropriate and in extreme cases fraudulent. ITM can relieve its clients of these types of headaches with its EMT management services. Encounters are reported from the ambulance companies directly to ITM and receive tracking numbers and verification of member eligibility. Once prepared, the ambulance billing agency submits the proper billing information along with trip sheet information to ITM for review and remit as appropriate for the services and allowed by insurance and client policy.